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General NPI Number Information
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NPI Number | 1932113966
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Entity Type | Individual
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Provider Name | MARK STEVEN NADLER DMD
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 05/30/2018
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Provider Practice Location Address
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Address Line | 185 FRONT ST SUITE 105
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City | DANVILLE
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State | CA
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Zip | 94526
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Country | US
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Telephone | 925-820-8888
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Fax | 925-820-3459
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Provider Business Mailing Address
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Address Line | 2206 CAMINO RAMON
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City | SAN RAMON
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State | CA
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Zip | 94583-1328
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Country | US
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Telephone | 925-820-8888
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Fax | 925-820-3459
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 31339
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License Number State | CA
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